Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $724.44	Facility		$234.42	$512.86	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $616.60	Professional		$275.42	$371.54	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,288.25	Facility		$645.65	$645.65	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,096.48	Professional		$389.05	$389.05	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $537.03 / $537.03	Facility		$489.78	$537.03	$537.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,174.90 / $50,118.72	Facility		$416.87	$1,174.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $645.65	Professional		$302.00	$302.00	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $2,511.89	Facility		$645.65	$1,071.52	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,258.93	Professional		$407.38	$724.44	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Facility		$251.19	$251.19	$263.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $407.38	Professional		$251.19	$380.19	$407.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $616.60	Professional		$426.58	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $870.96	Facility		$263.03	$501.19	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $537.03	Professional		$213.80	$354.81	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $380.19	Facility		$251.19	$363.08	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $407.38	Professional		$251.19	$380.19	$407.38